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General NPI Number Information
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NPI Number | 1952446247
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Entity Type | Organization
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Legal Business Name | ELEA D. ENGLISH M.D. INC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 41230 11TH ST W SUITE D
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City | PALMDALE
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State | CA
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Zip | 93551-1411
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Country | US
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Telephone | 661-272-1400
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Fax | 661-272-9499
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Provider Business Mailing Address
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Address Line | 41230 11TH ST W SUITE D
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City | PALMDALE
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State | CA
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Zip | 93551-1411
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Country | US
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Telephone | 661-272-1400
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Fax | 661-272-9499
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. WAYNE A KELLY
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Credential |
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Telephone | 661-272-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A33623
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License Number State | CA
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